{"id":6458,"date":"2025-10-08T10:19:30","date_gmt":"2025-10-08T08:19:30","guid":{"rendered":"https:\/\/neurohirurgija.in.rs\/?page_id=6458"},"modified":"2026-06-14T16:27:04","modified_gmt":"2026-06-14T14:27:04","slug":"low-back-pain-sciatica-patient-hub","status":"publish","type":"page","link":"https:\/\/neurohirurgija.in.rs\/en\/low-back-pain-sciatica-patient-hub\/","title":{"rendered":"Low Back Pain &amp; Sciatica \u2014 Patient Hub"},"content":{"rendered":"<p class=\"wp-block-paragraph\"><strong>Author:<\/strong>&nbsp;<a href=\"https:\/\/neurohirurgija.in.rs\/en\/cv-en\/\">Dr. Zeljko Kojadinovic, MD, PhD \u2013<\/a>&nbsp;Neurosurgeon and Pain Management Specialist<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Last medically reviewed: June 10, 2026<\/p>\n\n\n\n<style>\n  .lbp-hub { max-width: 980px; margin: 0 auto; }\n  .lbp-muted { color:#46566b; }\n  .lbp-author { margin:6px 0 14px; color:#2b3a4a; font-size:.95rem; }\n  .lbp-grid { display:grid; gap:14px; }\n  @media (min-width: 720px){ .lbp-grid { grid-template-columns: repeat(2, minmax(260px, 1fr)); } }\n  @media (max-width: 719px){ .lbp-grid { grid-template-columns: 1fr; } }\n  .lbp-card { border:1px solid #e9eef3; border-radius:12px; padding:14px; background:#f9fbfd;\n              text-decoration:none; display:block; transition:.15s; }\n  .lbp-card:hover { background:#f2f7fc; transform:translateY(-1px); }\n  .lbp-card b { display:block; margin-bottom:6px; color:#0b3954; }\n  .lbp-alert { background:#fff5f5; border:1px solid #fecaca; border-left:6px solid #ef4444;\n               border-radius:12px; padding:12px 14px; margin:16px 0; }\n  .lbp-cta   { background:#fff9db; border:1px solid #ffe58f; border-left:6px solid #facc15;\n               border-radius:12px; padding:12px 14px; margin:16px 0; }\n  .lbp-alert ul { margin:8px 0 0 18px; }\n<\/style>\n\n<div class=\"lbp-hub\">\n\n  <div class=\"lbp-author\">\n\n  <\/div>\n\n  <p class=\"lbp-muted\">\n    This short hub points you to our most useful patient-friendly guides on low back pain, sciatica, and related spine conditions.\n    These pages are written especially for patients whose pain persists despite treatment and who need to understand why the pain continues, whether the MRI finding truly explains the symptoms, and whether the next step should be medication adjustment, targeted injections, rehabilitation, surgery, or a second opinion.\n  <\/p>\n\n  <p class=\"lbp-muted\">\n    In low back pain and sciatica, the key question is often not only what the scan shows, but whether the suspected finding is truly the active pain generator.\n    Disc herniation, spinal stenosis, Tarlov cysts, postoperative scar tissue, recurrent disc, facet or sacroiliac joint pain, muscle-fascial pain, instability, and nerve sensitization can overlap.\n    Treatment becomes more logical only when symptoms, examination, imaging, and functional limitation are interpreted together.\n  <\/p>\n\n  <div class=\"lbp-grid\">\n    <!-- 1) Low Back Pain \u2014 Deep Dive -->\n    <a class=\"lbp-card\" href=\"https:\/\/neurohirurgija.in.rs\/en\/low-back-pain-different-causes-different-treatments\/\">\n      <b>Low Back Pain \u2014 Deep Dive<\/b>\n      <span class=\"lbp-muted\">All common low back pain generators and how they are distinguished and treated, including muscle-fascial pain, facet and sacroiliac joint pain, discogenic pain, stenosis, instability, nerve irritation, and mixed pain mechanisms.<\/span>\n    <\/a>\n\n<!-- 2) Lumbar Disc Herniation & Sciatica -->\n<a class=\"lbp-card\" href=\"https:\/\/neurohirurgija.in.rs\/en\/lumbar-disc-herniation-and-sciatica\/\">\n  <b>Lumbar Disc Herniation &amp; Sciatica<\/b>\n  <span class=\"lbp-muted\">How to know whether a herniated disc seen on MRI is truly causing sciatica, why disc pain may persist despite treatment, whether the disc can improve without surgery, and when surgery is actually needed.<\/span>\n<\/a>\n\n<!-- 3) Lumbar Spinal Stenosis & Neurogenic Claudication -->\n<a class=\"lbp-card\" href=\"https:\/\/neurohirurgija.in.rs\/en\/lumbar-spinal-stenosis-neurogenic-claudication\/\">\n  <b>Lumbar Spinal Stenosis &amp; Neurogenic Claudication<\/b>\n  <span class=\"lbp-muted\">Walking-related leg heaviness, numbness, pain, or weakness that improves with sitting or bending forward. This guide explains why symptoms may persist, how stenosis is confirmed, and when decompression surgery is considered.<\/span>\n<\/a>\n\n<!-- 4) Tarlov Cysts \u2014 Second Opinion -->\n<a class=\"lbp-card\" href=\"https:\/\/neurohirurgija.in.rs\/en\/tarlov-cysts-and-pain-second-opinion\/\">\n  <b>Tarlov Cysts \u2014 Second Opinion<\/b>\n  <span class=\"lbp-muted\">How to judge whether a Tarlov cyst is incidental or truly causing pain, why symptoms may continue despite treatment, which findings matter, and when treatment or surgery should be considered.<\/span>\n<\/a>\n\n<!-- 5) Chronic Pain After Lumbar Discectomy -->\n<a class=\"lbp-card\" href=\"https:\/\/neurohirurgija.in.rs\/en\/chronic-pain-after-lumbar-discectomy\/\">\n  <b>Chronic Pain After Lumbar Discectomy<\/b>\n  <span class=\"lbp-muted\">Why pain may continue after disc surgery, including recurrent disc herniation, scar tissue, missed pain generators, incomplete decompression, instability, facet\/SI joint pain, myofascial pain, and nerve sensitization.<\/span>\n<\/a>\n&#8222;`\n\n  <\/div>\n\n  <div class=\"lbp-alert\">\n    <strong>Seek urgent care if you develop:<\/strong>\n    <ul>\n      <li>progressive leg weakness<\/li>\n      <li>new saddle numbness<\/li>\n      <li>bladder or bowel problems<\/li>\n      <li>fever with severe back pain<\/li>\n    <\/ul>\n  <\/div>\n\n  <div class=\"lbp-cta\">\n    <strong>Need help identifying why pain persists?<\/strong><br>\n    A focused <a href=\"https:\/\/neurohirurgija.in.rs\/en\/online-pain-consultation-with-a-doctor-via-video-call\/\">telehealth pain consultation<\/a> can help clarify the active pain generator and the next reasonable treatment step.\n    If surgery was suggested, request an <a href=\"https:\/\/neurohirurgija.in.rs\/en\/second-opinion-in-neurosurgery-trusted-insight\/\">online second opinion<\/a> to check whether the MRI finding truly explains the symptoms and whether surgery is necessary or avoidable.\n  <\/div>\n<\/div>\n\n\n\n\n<figure class=\"wp-block-image aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"259\" height=\"194\" src=\"https:\/\/neurohirurgija.in.rs\/wp-content\/uploads\/2018\/09\/bol-u-ledjima-img6.jpg\" alt=\"Illustration of low back pain\" class=\"wp-image-956\" style=\"width:258px;height:auto\"\/><\/figure>\n\n\n\n<nav aria-label=\"Pages in this hub\" class=\"hub-mini\" style=\"background:#f4faff;border:1px solid #cce5ff;border-radius:10px;padding:10px 12px;margin:14px 0\">\n  <div style=\"font-weight:700;color:#005c99;margin:0 0 6px 0\">Pages in this Hub<\/div>\n  <ul style=\"margin:0;padding-left:18px\">\n    <li><a href=\"https:\/\/neurohirurgija.in.rs\/en\/low-back-pain-different-causes-different-treatments\/\">Low Back Pain \u2014 Deep Dive<\/a><\/li>\n    <li><a href=\"https:\/\/neurohirurgija.in.rs\/en\/lumbar-disc-herniation-and-sciatica\/\">Lumbar Disc Herniation &amp; Sciatica<\/a><\/li>\n    <li><a href=\"https:\/\/neurohirurgija.in.rs\/en\/lumbar-spinal-stenosis-neurogenic-claudication\/\">Lumbar Spinal Stenosis &amp; Neurogenic Claudication<\/a><\/li>\n    <li><a href=\"https:\/\/neurohirurgija.in.rs\/en\/tarlov-cysts-and-pain-second-opinion\/\">Tarlov Cysts \u2014 Second Opinion<\/a><\/li>\n    <li><a href=\"https:\/\/neurohirurgija.in.rs\/en\/chronic-pain-after-lumbar-discectomy\/\">Chronic Pain After Lumbar Discectomy<\/a><\/li>\n  <\/ul>\n<\/nav>\n\n<script>\n(function(){\n  var here = location.pathname.replace(\/\\\/+$\/,'') + '\/';\n  document.querySelectorAll('nav.hub-mini a').forEach(function(a){\n    var ap = a.pathname.replace(\/\\\/+$\/,'') + '\/';\n    if (ap === here){\n      var span = document.createElement('span');\n      span.textContent = a.textContent;\n      span.setAttribute('aria-current','page');\n      span.style.fontWeight = '600';\n      span.style.color = '#0a4d78';\n      a.replaceWith(span);\n    }\n  });\n})();\n<\/script>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>","protected":false},"excerpt":{"rendered":"<p>Author:&nbsp;Dr. Zeljko Kojadinovic, MD, PhD \u2013&nbsp;Neurosurgeon and Pain Management Specialist Last medically reviewed: June 10, 2026 This short hub points you to our most useful patient-friendly guides on low back pain, sciatica, and related spine conditions. These pages are written especially for patients whose pain persists despite treatment and who need to understand why the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_seopress_robots_follow":"","_seopress_robots_imageindex":"","_seopress_robots_snippet":"","_seopress_robots_primary_cat":"","_seopress_robots_breadcrumbs":"","_seopress_robots_freeze_modified_date":"","_seopress_robots_custom_modified_date":"","_seopress_robots_canonical":"","_seopress_social_fb_title":"","_seopress_social_fb_desc":"","_seopress_social_fb_img":"","_seopress_social_fb_img_attachment_id":0,"_seopress_social_fb_img_width":0,"_seopress_social_fb_img_height":0,"_seopress_social_twitter_title":"","_seopress_social_twitter_desc":"","_seopress_social_twitter_img":"","_seopress_social_twitter_img_attachment_id":0,"_seopress_social_twitter_img_width":0,"_seopress_social_twitter_img_height":0,"_seopress_redirections_value":"","_seopress_redirections_enabled":"","_seopress_redirections_enabled_regex":"","_seopress_redirections_logged_status":"both","_seopress_redirections_param":"","_seopress_redirections_type":301,"_seopress_analysis_target_kw":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"class_list":["post-6458","page","type-page","status-publish","hentry"],"blocksy_meta":[],"_links":{"self":[{"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/pages\/6458","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/comments?post=6458"}],"version-history":[{"count":11,"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/pages\/6458\/revisions"}],"predecessor-version":[{"id":14457,"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/pages\/6458\/revisions\/14457"}],"wp:attachment":[{"href":"https:\/\/neurohirurgija.in.rs\/en\/wp-json\/wp\/v2\/media?parent=6458"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}